2002, 10-22 Permit App: 02009338 Patio Cover •
Project Number: 02009338 Inv: 1 Application Date: 10/22/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ATTACHED 9 X 20 PATIO COVER Contact: RODRIQUEZ,PEDRO
Address: 1524 N VISTA RD
C - S -Z: SPOKANE,WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509)928-9488
Group Name:
Site Information: Project Name:
Plat Key: 001228 Name: HILLCREST ACRES 6TH ADD District: F
Parcel Number: 45181.0629 Block: Lot:
SiteAddress: 1524 N VISTA RD Owner: Name: RODRIQUEZ,PEDRO
SPOKANE,WA 99212 Address: 1524 N VISTA RD
Location:: SPO SPOKANE,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 75 Depth: 150 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Release. = r: /* 1 1
Plan Review Release '[ '4 .r&
C r i
Permits: . .
Operator: DMD Printed By: DMD Print Date: 10/22/2002
Project Number: 02009338 Inv: 1 Application Date: 10/22/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VN PATIO 180 $810.00 180 $810.00
COVER
Totals: 180 $810.00 180 $810.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $35.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70
Permit Total Fees: $47.20
Notes
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.20 $47.20 $0.00 $47.20
$47.20 $47.20 $0.00 $47.20
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 10/22/2002
;II
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Air;1k
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
1 11 SroxArT Y 509-477-3675 ,;Z - c -9 •3 Q/
SPECIFIC SITE INFORMATION
Street A dress --
1 �—2Y' �, 1/; s7 d / c�. It /za ti e t uJ c�
Assessor's Tax Parcel Number(s):
Legal Description:
\ Project Description: V C.\' i-- 0C)-- -)—
'
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
Left Right
OWNER/APPLICANT INFORMATION
0 Indicateicwho should be contacted re,gardin.g this project
❑ Owner Phone 5" y� `h p . 4 171 irci" ❑ Applicant: Phone:
'Peel et) J`• / D til YI :t C 1/ Fax- Fax:
Mailing Address: , Mailing Address:
iC.) ht w. 0e•1, -I 21.
City,State,,Zip City,State,Zip
( c keth•C tA)A • Cid( 1/1. " 2 z
❑ Contractor Phone ❑ Architect/lingineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
\CA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information'
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
DimensionsTotal habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project \"4,J0 I teat source(electric,gas,etc.)
Manufactured Home • • ,Sign
Width: Length: What is the square footage of the sign I low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
•
Previous address i I ire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes O No What is the current property size?
If yes,identibi on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,idents on site plan 0 Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes Cl No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identi on site plan Ifyes,ident'on the site plan 0 Yes O No
Cl Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identibi on site plan 0 Yes 0 No 0 Yes 0 No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( %) O Yes Cl No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes O No
0 Yes 0 No
Is the property inside the PSSA? El Yes El No Is the property located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Received: Staff Representative:
METHOD OF PAYMENT
CO; SUBTOTAL
VISA ,
❑ CASII ❑ CIIF.CK ❑ 1 ❑
❑ --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1/VIE: E,XPIRI;S: TOTAL FEE
BANKCARD NUMBER: MINIMUM PERMIT FEE IS$35.30 PLEASE
MAKE CHECKS PAYABIE TO SPOKANE
AU'f11OR1'ZI'.D SIUNATURI':: COUNTY PERMIT CENTER
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